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This difference is probably attributed to the seasonal variation, as the two studies were conducted in different seasons and year and this implies that the prevalence HHFI may vary across seasons and years.
This difference may be due to the fact that the method they used to assess household food insecurity status differs from the current study; as a result their prevalence of HHFI was also very low (48.6%) compared to the current study (75.8%).
This can be explained as though HHFI varies across time, sometimes it may persist for a long time causing chronic malnutrition.
However, other literatures  have identified HHFI to be associated with acute malnutrition; their method to assess HHFI was completely different from the current study and as a result they yield a lower proportion of HHFI; this might be the reason for this disparity.
The fourth objective of our study was to see other factors associated with nutritional status of children other than HHFI, since child malnutrition is not the mere effect of HHFI.
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- HHH syndrome